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5 Operation

Operating Instruction SIROSONIC/L/TL, PerioSonic

54

62 78 415 D3275

.

201.04.09

.

02

5.7.4

Using SIROPREP tips

SIROPREP tips are equipped with grinding blocks to remove proximal 

caries in the distal and mesial areas.
D1 – Small tip for removing distal caries
D2 – Large tip for removing distal caries
M1 – small tip for removing mesial caries
M2 – Large tip for removing mesial caries
Wear:
To ensure successful treatment, make sure that the ultrasonic tip is 

sufficiently coated with diamonds prior to use.

D1/D2

M1/M2

6278415.book  Seite 54  Montag, 17. Oktober 2016  11:28 11

Summary of Contents for PerioSonic

Page 1: ...pfolplkf LiLqi m p b l f Instructions for use 6278415 book Seite 1 Montag 17 Oktober 2016 11 28 11...

Page 2: ...Structure of the document 8 1 2 Service life of Sirona instruments 10 2 Safety information 12 3 Technical description 15 3 1 Task 15 3 2 Calculus detection functioning 15 3 3 Ultrasonic handpiece desi...

Page 3: ...1 Connecting the ultrasonic handpiece to the supply hose 28 5 2 Detaching the ultrasonic handpiece from the supply hose 29 5 3 Inserting and removing the ultrasonic tip 31 5 4 Checking the ultrasonic...

Page 4: ...tion 66 7 2 Automated cleaning and disinfecting 67 7 3 Manual cleaning and disinfection 70 7 4 Sterilizing 72 8 Maintenance 74 8 1 Maintaining the water channel 74 8 2 Cleaning the light guide surface...

Page 5: ...ion SIROSONIC L TL PerioSonic Table of Contents 62 78 415 D3275 201 04 09 02 5 9 Spare parts and consumables 80 10 Storage and transport conditions 92 11 Disposal 94 6278415 book Seite 5 Montag 17 Okt...

Page 6: ...OSONIC L TL PerioSonic 2 Only use SIROSONIC L TL PerioSonic for the applications described in the operating instructions 3 Observe the applicable hygiene standards occupational safety regulations and...

Page 7: ...of thixotropic composites CEM Micropreparation Retrograde root treatment endo Estimation of the working depth tip with depth scale PerioSonic PerioSonic is also used to generate a voltage signal for a...

Page 8: ...r that may lead to death or serious injury if not avoided CAUTION indicates a danger that may lead to injury if not avoided Instructions for use To prevent material damage and additional expenses plea...

Page 9: ...his document have the following meaning Prerequisite 1 First action step 2 Second action step or Alternative action Result Individual action step Requests you to do something Use of formats and symbol...

Page 10: ...nts have a typical service life of approx 5 years Moving parts of Sirona instruments have a typical service life of approx 3 years No warranty claim can be inferred here as wear may occur earlier or l...

Page 11: ...uded torque wrench have reached their wear limit and must be disposed of Exception SIROIMPLANT IP1 reaches its service time after 1 000 treatments or 24 months Document and check the service time of t...

Page 12: ...ating instructions within reach for further reference Scaler only with Sirona Use SIROSONIC L TL PerioSonic only with Sirona equipment Only use the torque wrench included with each tip Dispose of the...

Page 13: ...aler Malfunction or damage Discontinue use immediately in case of malfunction unusual or different sounds or damage Damaged ultrasonic handpieces and tips may cause injury Notify the dental depot or t...

Page 14: ...quipment users with cardiac pacemakers and or implanted defibrillators Combination with treatment centers Combination with treatment centers Use the Sirona scalers only in combination with a Sirona tr...

Page 15: ...oning PerioScan Calculus can be detected only with the SIROPERIO 4 PS ultrasonic tip in combination with the PerioSonic handpiece on the Sirona PerioScan Detection The physical vibration patterns of t...

Page 16: ...e signal green lights up green if calculus is detected the signal ring lights up blue Observe the notes in the operating instructions for PerioScan 3 3 Ultrasonic handpiece design SIROSONIC TL SIROSON...

Page 17: ...ONIC L TL PerioSonic 3 Technical description 62 78 415 D3275 201 04 09 02 17 PerioSonic PerioSonic design A Tip mount B Light aperture Signal ring D Control ring E Hose nut 6278415 book Seite 17 Monta...

Page 18: ...SONIC SIROSONIC L SIROSONIC TL PerioSonic Oscillation frequency in kHz 25 32 25 32 25 32 25 32 Spray function x x x x Spray water regulation at the coupling x x x x Light function x x x Amplitude of t...

Page 19: ...SONIC TL Lamp voltage in V at the lamp 3 6 0 1 Lamp current in A Halogen lamp LED 0 03 0 03 Spray water flow in ml min with fully opened water regulator 60 60 60 Spray water pressure in bar without ti...

Page 20: ...D3275 201 04 09 02 PerioScan 1 Depending on the treatment center and its accessories PerioSonic Lamp voltage in V at the lamp Lamp current in A Halogen lamp LED 0 03 Spray water flow in ml min with f...

Page 21: ...4 09 02 21 Operating conditions Spray water pressure in bar without tip 1 1 5 Recommended water content in spray in ml min 30 ml min PerioSonic Ambient temperature 10 C 40 C 50 F 104 F Relative humidi...

Page 22: ...s of the Council Directive 93 42 EEC of June 14 1993 concerning medical devices MDD 3 5 Power settings for ultrasonic tips The tips can be used at the following maximum power 0123 SIROSONIC SIROSONIC...

Page 23: ...SIROPERIO PE 2 100 100 100 100 SIROPERIO PE 3 100 100 100 100 SIROPERIO 4 PS 80 80 80 80 SIROPERIO PE 5 100 100 100 100 SIROPERIO PE 6 100 100 100 100 SIROPREP tips 100 100 100 100 SIRORETRO tips 100...

Page 24: ...70 70 70 Endo tip no 5 4 4 or Endo function 1e 5e2 Endo function 1e 5e3 4 1 in combination with SIROSON L 20 2 in combination with the INTEGO INTEGO PRO treatment center 3 in combination with the TENE...

Page 25: ...fore initial operation Sterilize the scaler and accessory parts prior to startup 72 Clean and lubricate the scaler after longer breaks in use 4 2 Prior to starting the work day Flush the water lines f...

Page 26: ...of cooling water 30 ml min 35 6 Use filtered water only 50 m 7 Check the nozzles for blockages and lime deposits for example and clean the nozzles if necessary 8 Make sure the ultrasonic tip is fits t...

Page 27: ...mly clamped in place Overheating at the preparation site _ flow rate CAUTION Insufficient cooling leads to overheating of the preparation site and damage to the tooth substance Ensure that the flow ra...

Page 28: ...nic handpiece to the supply hose Attaching SIROSONIC L Connecting SIROSONIC L 1 Compare the hole pattern in the handpiece with the small tubes in the hose coupling 2 Hold the hose nut A firmly and ins...

Page 29: ...ess on the hose coupling 2 Hold the hose nut A firmly and insert the ultrasonic handpiece until it clicks audibly into place 5 2 Detaching the ultrasonic handpiece from the supply hose Do not detach t...

Page 30: ...e by the control ring B and not by the hose nut A 2 Detach the ultrasonic handpiece from the supply hose Do not pull on or hold the supply hose Detaching SIROSONIC TL PerioSonic Detaching SIROSONIC TL...

Page 31: ...a quarter revolution past the resistance 3 Detach the torque wrench 4 Check the ultrasonic tip 32 Clamping tips CAUTION A loose ultrasonic tip can come loose from the thread or break off This may caus...

Page 32: ...based on the checkcard The marking lines B show the maximum permissible wear Does the ultrasonic tip deviate from the contour of the illustration on the checkcard or is the ultrasonic tip shorter than...

Page 33: ...s approx 1 W IMPORTANT The user is responsible for setting the appropriate power level according to the medical indication Adjust the power of the ultrasonic tip on the treatment center or PerioScan O...

Page 34: ...OSONIC L TL PerioSonic 34 62 78 415 D3275 201 04 09 02 values do not coincide with the values 1 to 5 in ultrasonic operation SIROSONIC TL with TENEO and SINIUS SIROSONIC L with INTEGO 6278415 book Sei...

Page 35: ...low of the CEM tip no 6L is blocked When using CEM tip no 6L the ultrasonic handpiece can be operated only intermittently Max water flow Water flow rate Marking logo for SIROSONIC und SIROSONIC L The...

Page 36: ...Sirona logo is used as a marking for the SIROSONIC TL and PerioSonic General III The minimum water flow is set when the control ring is turned in a clockwise direction until it reaches the stop The ma...

Page 37: ...use detach the ultrasonic tip and attach the torque wrench to protect the tip Make sure to keep the instrument away from soft tissues such as cheeks lips tongue etc during treatment Contact causes fri...

Page 38: ...how the handpiece should be held during treatment Always keep the instrument in motion either up and down the tooth or across the proximal surface in lingual or buccal direction away from the tooth CA...

Page 39: ...amic restoration except when using a CEM tip Prostheses may otherwise become loose due to the high frequency ultrasonic vibrations Since the instrument causes only slight pain it is also ideal for the...

Page 40: ...ingival operation even in deep gingival pockets SIROPERIO tips provide you with optimal access to all regions so that you can efficiently remove calculi while at the same time preserving healthy tooth...

Page 41: ...Operating Instruction SIROSONIC L TL PerioSonic 5 Operation 62 78 415 D3275 201 04 09 02 41 SIROPERIO PE 1 straight narrow 6278415 book Seite 41 Montag 17 Oktober 2016 11 28 11...

Page 42: ...5 Operation Operating Instruction SIROSONIC L TL PerioSonic 42 62 78 415 D3275 201 04 09 02 SIROPERIO PE 2 right curved for posterior teeth 6278415 book Seite 42 Montag 17 Oktober 2016 11 28 11...

Page 43: ...Operating Instruction SIROSONIC L TL PerioSonic 5 Operation 62 78 415 D3275 201 04 09 02 43 SIROPERIO PE 3 left curved for posterior teeth 6278415 book Seite 43 Montag 17 Oktober 2016 11 28 11...

Page 44: ...Operating Instruction SIROSONIC L TL PerioSonic 44 62 78 415 D3275 201 04 09 02 SIROPERIO 4 PS straight also especially for use with PerioScan for detection 6278415 book Seite 44 Montag 17 Oktober 20...

Page 45: ...Operating Instruction SIROSONIC L TL PerioSonic 5 Operation 62 78 415 D3275 201 04 09 02 45 SIROPERIO PE 5 right curved for posterior teeth 6278415 book Seite 45 Montag 17 Oktober 2016 11 28 11...

Page 46: ...5 Operation Operating Instruction SIROSONIC L TL PerioSonic 46 62 78 415 D3275 201 04 09 02 SIROPERIO PE 6 left curved for posterior teeth 6278415 book Seite 46 Montag 17 Oktober 2016 11 28 11...

Page 47: ...NIC L TL PerioSonic 5 Operation 62 78 415 D3275 201 04 09 02 47 5 7 2 Using scaling tips Scaling tip no 1L for course cleaning lingual buccal IMPORTANT Do not use proximally 6278415 book Seite 47 Mont...

Page 48: ...peration Operating Instruction SIROSONIC L TL PerioSonic 48 62 78 415 D3275 201 04 09 02 Scaling tip no 2L versatile for lingual buccal proximal use 6278415 book Seite 48 Montag 17 Oktober 2016 11 28...

Page 49: ...5 Operation 62 78 415 D3275 201 04 09 02 49 Scaling tip no 3L for universal use on either side Tip The tip is especially suitable for removing supragingival plaque and for the interdental space 627841...

Page 50: ...s dental necks and for the interdental space The rear molars are more accessible with this tip 5 7 3 Using SIRORETRO tips SIRORETRO tips are intended to be used for retrograde root treatment invasive...

Page 51: ...r B between the hose coupling and the handpiece Note the connecter and hole pattern 3 Attach the NaCl hose C and fasten it to the supply hose with the hose clamps D SIRORETRO tips are selectively diam...

Page 52: ...415 D3275 201 04 09 02 SIRORETRO KR Short angled to the right for treatment of the left lower jaw or right upper jaw SIRORETRO GR Long angled to the right for treatment of the left lower jaw or right...

Page 53: ...e left for treatment of the right lower jaw or left upper jaw SIRORETRO GL Long angled to the left for treatment of the right lower jaw or left upper jaw Wear To ensure successful treatment make sure...

Page 54: ...caries in the distal and mesial areas D1 Small tip for removing distal caries D2 Large tip for removing distal caries M1 small tip for removing mesial caries M2 Large tip for removing mesial caries W...

Page 55: ...its capacity followed by a cool down period Make sure the handpiece does not overheat CAUTION Too high a power rating can cause the attachment to come loose A loose attachment can overheat Ensure tha...

Page 56: ...ast the resistance The water flow is shut off automatically 2 Screw cap B manually firmly onto the ultrasonic tip If the cap shows signs of wear replace it with a new one The cap can be used and steri...

Page 57: ...site thixotropy and insert the inlay almost without using pressure After the handpiece is switched off the hardening composite immediately returns to its normal consistency i e excess material does no...

Page 58: ...must be inserted for supplying external irrigation fluids e g NaCl Inserting the spray adapter Cooling water flow is cut off using control ring A 1 Detach the ultrasonic handpiece from the supply hos...

Page 59: ...used for flushing the prepared root canals 1 Screw the ultrasonic tip in manually using the endo key A 2 Then remove the endo key CAUTION Screw and unscrew the endo tip no 5 using only the endo key A...

Page 60: ...ect condition and fits tightly prior to every use CAUTION The endo tip no 5 may be operated only with a power level of maximum 4 SIROSONIC L and PerioSonic IMPORTANT Endo tip no 5 may be operated only...

Page 61: ...pulling out or pushing in the depth stop up to the required depth manually 2 Turn screw B with the wrench C to set the displacement force of the depth stop Tip If the slotted hose piece D is worn you...

Page 62: ...ting up 3 Adjust the flow of the rinsing medium so that it rises up to the tip of the instrument CAUTION Risk of injury When the ultrasonic handpiece is not in use detach the root canal instrument and...

Page 63: ...g If this is the case replace the cleaning insert Tighten the holder of the cleaning insert with the knurled bushing and check the cleaning insert to make sure that it is firmly attached We recommend...

Page 64: ...rasonic handpiece when the tip is inserted This may cause injury When the ultrasonic handpiece is not in use remove the tip or attach the torque wrench for protection The ultrasonic handpiece is not i...

Page 65: ...rasonic tip and torque wrench to the hygiene room in a suitable transport container 6 Conduct automatic conditioning 67 Manual conditioning 70 is possible in exceptional cases if the national local re...

Page 66: ...ents plural Wear appropriate protective clothing All disinfectants must be approved in your country and have proven bactericidal fungicidal and virucidal properties Only use disinfectants with no prot...

Page 67: ...re _ Instruments plural without pushbutton chuck The instruments are conditioned using the DAC UNIVERSAL 1 Check whether the instruments are clean after conditioning under good lighting min 500 lux an...

Page 68: ...n equipment NOTICE The ultrasonic tips can be cleaned and disinfected on the outside only after removing them from the torque wrench Cleaning and disinfection equipment The cleaning and disinfection e...

Page 69: ...olor rendering index min 80 Ra 2 If they are still dirty repeat the process For further processing the instruments should be dry and free of residue 3 Blow the instruments out with max 3 bar 4 Pack th...

Page 70: ...latest one hour after treatment NOTICE Never clean in an ultrasound bath NOTICE Never immerse in disinfectant solution No strong acidic alkaline or chlorine solutions NOTICE Do not use any strong acid...

Page 71: ...nd color rendering index min 80 Ra until no more dirt can be seen for at least 10 seconds 2 Blow spray channels with 2 5 3 bar until no more moisture displaces but at least 10 seconds 3 Conduct therma...

Page 72: ...and accessories can be sterilized in packaging suitable for sterilization and storage e g paper plastic composite packaging or container Sterilize the ultrasonic handpiece and accessories in the steam...

Page 73: ...E Do not exceed 140 C 284 F even during the drying phase After sterilizing heading After sterilizing Next steps _ Instruments plural 1 Remove the instruments from the steam sterilizer immediately CAUT...

Page 74: ...cient cooling leads to overheating of the preparation site the tip and the handpiece Ensure that the water content is 30ml min Exception The water flow is blocked in tip no 6L CEM When using tip no 6L...

Page 75: ...screw the screw on cap with the sealing ring or signal ring 2 In order to avoid scratching the surfaces blow off any dirt particles with air from a dry syringe 3 Wipe the surfaces with a Q tip or a so...

Page 76: ...SIROSONIC L for SIROSONIC L Replacing spray in SIROSONIC L Scaler 1 Detach the ultrasonic handpiece from the supply hose 2 Detach the control ring from the hose coupling 3 Remove the spray water cartr...

Page 77: ...from the supply hose 2 Position the longest partial marking of the control ring A opposite the recess B The spray water cartridge can be replaced only in this position 3 Remove the spray water cartrid...

Page 78: ...ogen lamp LED SIROSONIC Heading for SIROSONIC L Risk of burning from lamps CAUTION The lamp can be hot Risk of burns Allow the lamp to cool down Scaler Supply hose NOTICE The LED in supply hose E of S...

Page 79: ...sert the new halogen lamp dark brown base LED Ensure the proper position of the contact surfaces NOTICE Pressing on the lens can destroy the LED Use the assembly tool C to insert the LED 5 Wipe the bu...

Page 80: ...02 9 Spare parts and consumables SCALER Basic version Basic version SIROSONIC L B D C A REF Scaling tip no 3L 18 94 455 Scaling tip no 4L 18 94 463 A SIROSONIC L handpiece 59 13 509 B Torque wrench 60...

Page 81: ...s 62 78 415 D3275 201 04 09 02 81 SIROSONIC TL B D C A REF Scaling tip no 3L 18 94 455 Scaling tip no 4L 18 94 463 A SIROSONIC TL handpiece 62 12 216 B Torque wrench 60 06 196 Cleaning wire 24 00 232...

Page 82: ...1 04 09 02 PerioSonic Basic equipment when purchased individually Ultrasonic handpiece sets without tips REF PerioSonic handpiece 60 30 410 Cleaning wire 24 00 232 Tip gauge 54 55 667 REF SIROSONIC L...

Page 83: ...04 09 02 83 Special accessories tips Special accessories Scaling tips REF Tip no 1L 89 24 250 Tip no 2L 89 24 268 Tip no 3L 18 94 455 Tip no 4L 18 94 463 Tip set no 3L 2 pcs 64 12 451 Tip set no 3L 6...

Page 84: ...ts and consumables Operating Instruction SIROSONIC L TL PerioSonic 84 62 78 415 D3275 201 04 09 02 Tip set no 4L 6 pcs 65 41 051 Torque wrench 60 06 196 REF 6278415 book Seite 84 Montag 17 Oktober 201...

Page 85: ...62 78 415 D3275 201 04 09 02 85 SIROPERIO tips REF SIROPERIO PE 1 60 44 825 SIROPERIO PE 2 60 44 833 SIROPERIO PE 3 60 44 841 SIROPERIO 4 PS 61 77 005 SIROPERIO PE 5 63 43 078 SIROPERIO PE 6 63 43 086...

Page 86: ...ORETRO tips REF SIRORETRO KL 54 57 887 SIRORETRO KR 54 57 895 SIRORETRO GL 54 57 903 SIRORETRO GR 54 57 911 Spray adapter L 60 02 286 A PerioSonic spray adapter 61 41 852 B Hose clamp for saline hose...

Page 87: ...2 78 415 D3275 201 04 09 02 87 SIROPREP tips M1 M2 D1 D2 REF SIROPREP M1 small mesial 59 04 276 SIROPREP M2 large mesial 59 47 358 SIROPREP D1 small distal 59 47 309 SIROPREP D2 large distal 59 47 366...

Page 88: ...esignation REF A Endo key knurled bushing 18 95 080 B PerioSonic spray adapter for SIROSONIC TL and PerioSonic 61 41 852 C Spray adapter L for SIROSON C8 SIROSON L SIROSONIC and SIROSONIC L 60 02 286...

Page 89: ...parts and consumables 62 78 415 D3275 201 04 09 02 89 G Hose clamp for saline hose recommended quantity 5 89 28 392 H Slit hose piece for depth stop recommended quantity 5 18 94 786 Item Designation R...

Page 90: ...SIROSONIC L TL PerioSonic 90 62 78 415 D3275 201 04 09 02 SIROIMPLANT tips IP 1 REF SIROIMPLANT IP 1 incl insert IP 1 5 pcs 63 43 052 Insert IP 1 5 pcs 63 43 094 Knurled bushing endo key 18 95 080 62...

Page 91: ...9 Spare parts and consumables 62 78 415 D3275 201 04 09 02 91 CEM set comprising CEM set no 6 L 18 94 307 CEM tip no 6L Contact caps for inlays 2 pcs Torque wrench Contact cap 10 pcs 18 94 372 627841...

Page 92: ...ons Operating Instruction SIROSONIC L TL PerioSonic 92 62 78 415 D3275 201 04 09 02 10 Storage and transport conditions Dispatch Symbols Protect from moisture Sensitive contents 6278415 book Seite 92...

Page 93: ...c 10 Storage and transport conditions 62 78 415 D3275 201 04 09 02 93 Relative humidity Air pressure Temperature After a severe change in temperature allow sufficient time for acclimation kPa 6278415...

Page 94: ...11 Disposal According to current information the product does not contain any substances that are hazardous to the environment Disinfected Disinfect the product prior to disposal Observe the applicab...

Page 95: ...Operating Instruction SIROSONIC L TL PerioSonic 11 Disposal 62 78 415 D3275 201 04 09 02 95 6278415 book Seite 95 Montag 17 Oktober 2016 11 28 11...

Page 96: ...23 t K aPOTRKOMNKMQKMVKMO NMKOMNS KJk KW NOO QPU p a p d e in USA p a p I ii c PN aJSQSOR _ d K K QUPR p a I p NMM I k OUOTP rp K K SO TU QNR aPOTR 6278415 book Seite 96 Montag 17 Oktober 2016 11 28 1...

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